Organization Name: | MCKENZIE PRESCRIPTION CENTER INC |
NPI Number: | 1265602429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT L LEWIS (HEARING AID SPECIALIST) |
Mailing Address: | 643 N Morley St Ste A Moberly |
State: | MO US |
Postal Code: | 65270 |
Phone Number: | 6602636710 |
Fax Number: | 6602632269 |
NPI Enumeration Date: | 03/04/2008 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 000587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |